Anal Fissure Flashcards

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1
Q

Anal fissure

A

tear in the anal canal

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2
Q

RF

A

constipation
manifestation of IBD
STI
pregnancy

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3
Q

signs

A
painful bleeding
can see fissure or feel fissure
constipation
blood covers stool
unable to do a PR
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4
Q

what is the timeline for acute and chronic condition

A

acute - <6 weeks

chronic - >6 weeks

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5
Q

where are fissures commonly located

A

posterior midline

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6
Q

management of acute and chronic

A
acute:
high fibre diet, soft food
laxative
lubricants
analgesia
chronic:
acute management continued 
CCB
GTN - vascular dilation
surgery
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